robert milner consultant radiographer the rotherham … · 2019-04-26 · consultant practitioner...
TRANSCRIPT
Robert Milner
Consultant Radiographer
The Rotherham Foundation NHS Trust
[email protected] @RobMilner3
Non-medical allied health consultant role first announced in 1999 for nurses ◦ By 2004 approx. 500 roles created
Other AHP consultants ◦ <60 roles appointed to in first 4 years
83 consultant radiographers registered with the SCoR in first 10 years
Four-tier radiography model agreed at a Downing Street Cancer Summit in 1999 ◦ Drivers include;
Extension of NHS breast screening programme
Commitment to reduce waiting times for cancer diagnosis and treatment
Designed to improve services for patients; ◦ Assistant practitioner ◦ Practitioner ◦ Advanced practitioner ◦ Consultant practitioner
Consultant practitioner definition; ‘Providing clinical leadership within a specialism, bringing strategic direction, innovation and
influence through practice, research and education’
DoH core functions; ◦ Expert clinical practice ◦ Professional leadership & consultancy ◦ Education, training & development ◦ Practice & service development, research & evaluation
Cost effectiveness Improve outcomes for patients
Two consultant radiologists leave in quick succession
Failure to recruit
Increasing reliance on locums and outsourcing
Struggle to meet targets
Is a consultant radiographer the answer?
Expert clinical practice ◦ Reporting backlogs reduced ◦ Targets consistently met ◦ Increasing scope of practice of existing team
Professional leadership & consultancy ◦ Establish new links with other AHP leads around the Trust ◦ Chair reporting and discrepancy meetings
Discrepancies, interesting cases, learning points & best practice
Commenced post
Education, training & development ◦ Mentor to 3 trainee advanced practitioners
◦ Formal teaching of radiology SpR’s
◦ Regular in-house teaching of other AHP’s & medical staff within the Trust
Physiotherapists, ED doctors, ENP’s, physician associates, podiatrists
◦ Lecture at two local universities
◦ Regular CPD evenings for junior radiographers
Practice & service development, research & evaluation ◦ Capacity vs demand exercise
◦ Establishment of a monthly audit and peer review programme for all advanced practitioners
◦ 2 x publications in peer reviewed journals
A third hoping to be submitted before Christmas
Building on existing networks and developing new ones
Engaging all staff
Leading change
Further developing AHP skills
Evaluating and evidencing the impact of AHP’s contribution
Recruiting, retaining and developing a flexible AHP workforce
Support for consultant AHP roles may be mixed
Development of new, more efficient pathways
Close relationships between AHP groups
Research & evidence based practice is key
Current advanced practitioners need to gain exposure to all 4 core functions
Radiographer Reporting
Academy: an overview
James Harcus BHSc (Hons) MSc PgCert PgCHE FHEA
Radiography Clinical Educator
Working Together Partnership ACC Vanguard
Background
•Workforce emerged as a key theme of WTP review
of Radiology services
•Reporting capacity gap
•Variation in skill mix utilisation
•Training challenge
•Collaborative strategy
The model
•Collaborative approach
•Sharing resources
•Standard approach
•Utilise existing academic programme
•Intensive, accelerated clinical support
The practicalities
•A home
•Equipment
•Clinical governance arrangements
•Trainees
•Clinical educator
•Evaluation strategy
A trainee journey
•Image interpretation only part of it…
• Clinical skills
• Expert practice
• Clinical assessment and history taking
• Leadership
• Education
• Research
•Quality improvement project already initiated
•Service evaluation/audits planned
Outcomes
•Advanced Practitioners
•Educated to Masters
•Peer support
•Pastoral support
•Clinical placement
•Clinical mentor
The academy is…
•A pilot
•Collaborative
•Supporting clinical departments
•Utilising information technology
•An adjunct to clinical mentor support
•A challenge to traditional thinking
The academy is not…
•Doing anything new
•Removing autonomy from clinical departments
•Reducing the need for radiologists
•The finished product
Longer term vision
•Potential for future collaboration with radiology
academies?
•Hub and spoke model?
•Other modalities?
•Other professions esp. ACPs or PA?
Acknowledgements
The trainees
Clinical sites
The Rotherham Foundation Hospital NHS Trust
Health Education England (Y&H)
University of Bradford
Contact